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Home My WebLink AboutPermit EL12-0210 - WESTFIELD SOUTHCENTER MALL - VANSVANS 811 S OUTH CENTER MALL EL12 -0210 City otIPTukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 -431 -3665 Web site: http: / /www.TukwilaWA.gov Parcel No.: 9202470010 Address: 811 SOUTHCENTER MALL TUKW Project Name: VANS ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL12 -0210 03/06/2012 09/02/2012 Owner: Name: WESTFIELD PROPERTY TAX DEPT Address: PO BOX 130940 , CARLSBAD CA Contact Person: Name: MICHAEL CRUMP Address: 1037 THOMAS AV SW , RENTON WA Contractor: Name: NETVERSANT ACQUISITION III LLC Address: 777 POST OAK BLVD STE 400 , HOUSTON TX Contractor License No: NETVEAI915DF Phone: 206 774 -7179 Phone: 713 - 403 -3800 Expiration Date: 03/06/2013 DESCRIPTION OF WORK: INSTALL (3) PHONE LINES AND (7) DATA LINES Value of Electrical: NRES: $2,500.00 RES: $0.00 Type of Fire Protection: SPRINKLERS /AFA Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complie xami with, The granting of this pe 't does not pre rma ce of work. construction or the Signature: Print Name: 4.9,V Fees Collected: $136.50 National Electrical Code Edition: 2008 Date: olct,e I l z ed this permit and know the same to be true and correct. All provisions of law and ordinances whether specified herein or not. e to give authority to violate or cancel the provisions of any other state or local laws regulating I am authorized to sign and obtain this electrical permit. -CT Date: J - This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. doc: EL -4/10 EL12 -0210 Printed: 03 -06 -2012 • 41111 PERMIT CONDITIONS Permit No. EL 12 -0210 * *ELECTRICAL ** 1: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector at each work site. 2: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector. 3: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter 296 -46B WAC. 4: When arty portion of the electrical installation is to be hidden from view by permanent placement of parts of the building, such equipment shall not be concealed until it has been inspected and approved by the Electrical Inspector. 5: The issuance of an electrical work permit shall not be construed to be a permit for, or an approval of, any violation of the provisions of the electrical code or other ordinances of the jurisdiction. Permits or related documentation that presumes to grant this authority are therefore not valid. 6: Any change in the scope of work described by the electrical work permit shall require additional work permits. Where approved plans have been issued, revisions to the plans and additional review may be required. • doc: EL -4/10. EL12 -0210 Printed: 03 -06 -2012 • • CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98/88 http://wmv.TukwilaWA.gov Electrical Permit No. L( L" 02.10 Project No. Date Application Accepted: Date Application Expires: (For office use only) ELECTRICAL PERMIT APPLICATION Applications and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or by fax. * *Please Print ** SITE LOCATION King Co Assessor's Tax No.: Site Address: 2800 Southcenter Mall PKWY Suite Number: 544 Floor: Tenant Name: VANS 157 New Tenant: ❑ Yes 0 ..No PROPERTY OWNER Name: Michael Crump Name: Westfield Group City: Renton State: WA Zip: 98057 Address: 2800 Southcenter Mall PKWY Email: mcrump @netversant.com City: Seattle State: WA Zip: 98188 CONTACT PERSON — person receiving all project communication Name: Michael Crump Address: 1037 Thomas Ave SW City: Renton State: WA Zip: 98057 Phone: (206) 774 -7179 Fax: (206) 774 -8179 Email: mcrump @netversant.com ELECTRICAL CONTRACTOR INFORMATION Company Name: Netversant Solutions Address: 1037 Thomas Ave SW City: Renton State: WA Zip: 98057 Phone: (206) 774 -7100 Fax: (206) 360 -1980 Contr Reg No.: NETVEAI915DF Exp Date: 03/06/2013 Tukwila Business License No.: 500053449 Valuation of Project (contractor's bid price): $ 2,500 Scope of Work (please provide detailed information): Install 3 phone lines and 7 data lines Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes ® No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement VI Low Voltage ❑ Generator ❑ Fire Alarm Telecommunication ❑ Temporary Service Property Served by: m Puget Sound Energy ❑ Seattle City Light H: \Applications \Forrns - Applications On Line \2011 Applications \Electrical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh Page I of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $152.85 (including an attached garage) ❑ Garages, pools, spas and outbuildings $81.90 ea ❑ Low voltage systems (alarm, furnace thermostat) $59.85 ea RESIDENTIAL REMODEL AND SERVICE CHANCES ❑ Service change or alteration $81.90 (no added/altered circuits) ❑ Service change with added /altered circuits $81.90 number of added circuits $11.55 ea ❑ Circuits added /altered without service change $54.60 (up to 5 circuits) ❑ Circuits added/altered without service change $54.60 (6 or more circuits) $7.65 ea ❑ Meter /mast repair $68.25 ❑ Low voltage systems $59.85 (alarm, furnace thermostat) MULTI- FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $63.00 ❑ Temporary service (generator) $78.75 ❑ Manufactured /mobile home service $84.00 (excluding garage or outbuilding) ❑ Carnivals $78.75 Number of concessions $10.50 ea PERMIT APPLICATION NOTES - Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing and justifiable cause demonstrated. 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Print Name: Ieva Brieze Mailing Address: 1037 Thomas Ave SW Date: 03/06/2012 Day Telephone: (206) 774 -7145 Renton WA 98057 City H:\ Applications \Form- Applications On Line \2011 Applications \Electrical Permit Application Revised 8 -9 -1 l.docx Revised: August 2011 bh State Zip Page 2 of 2 • City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206-431-3665 Web site: http: / /www.TukwilaWA.gov RECEIPT Parcel No.: 9202470010 Permit Number: EL12 -0210 Address: 811 SOUTHCENTER MALL TUKW Status: APPROVED Suite No: Applied Date: 03/06/2012 Applicant: VANS Issue Date: Receipt No.: R12 -00926 Payment Amount: $136.50 Initials: JEM Payment Date: 03/06/2012 01:12 PM User ID: 1165 Balance: $0.00 Payee: UEVA BRIEZE TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 121120 ACCOUNT ITEM LIST: Description 136.50 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 136.50 Total: $136.50 doc: Receiot -06 Printed: 03 -06 -2012 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF' TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 IC (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 Project: � Type of Inspection: 00 I Address: Date Called: Special Instructions: ,r 1kT k Date Wanted:. , 7 a.mJ Requester: Phone No: .Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: Inspector: il Date:03/11/12...._ REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be . paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Contractors or Tradespeople Prier Friendly Page 1 Electrical Contractor A business licensed by Lai to contract electrical work within the scope of its specialty. Electrical Contractors must maintain a surety bond or assignment of savings account. They also must have a designated Electrical Administrator or Master Electrician who is a member of the firm or a full -time supervisory employee. Business and Licensing Information Name Phone Address Suite /Apt. City State Zip County NETVERSANT ACQUISITION III 7134033800 777 Post Oak Blvd Ste 400 Houston TX 77056 Out Of State Business Type Limited Liability Company LLC UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 Parent Company NETVERSANT SOLUTIONS III LLC 602889778 Active NETVEAI915DF Electrical Contractor 3/6/2009 3/6/2013 General Unused Master Electrician INFORMATION License BROOMN'970DU Name BROOME, NORMAN Status Active Business Owner Information Name Role Effective Date Expiration Date CORPORATION SERVICE COMPANY Agent 03/11/2011 4/6/2010 TILTON, LYNN Partner /Member 03/11/2011 $250.00 DAVIS, MARK S Partner /Member 03/11/2011 ELECTRICAL CITATION BELK, SUZANNE J Partner /Member 03/11/2011 2/15/2011 ARGYROPOULOS, PARIS Partner /Member 03/06/2009 03/11/2011 Bond Information Page 1 of 1 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 International Fidelity Insurance Co 0498566 02/25/2009 Until Cancelled $4,000.00 03/06/2009 Assignment of Savings Information No records found for the previous 6 year period Insurance Information No records found for the previous 6 year period Summons /Complaint Information Summons and Complaints are not filed with the department for this contractor type Warrant Information Warrants are not filed with the department for this contractor type Infractions /Citations Information Infraction / Citation Date RCW Code Type Status Violation Amount EGUDA00345 4/6/2010 19.28.271 RCW ELECTRICAL CITATION Satisfied $250.00 ECHAP00968 10/25/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 ESIiA000455 2/15/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 https: // fortress .wa.gov /lni/bbip/Print.aspx 03/06/2012